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DR. KENNETH BANNER MD
NPI 1790917813
Internal Medicine - Gastroenterology in New City, NY

Active since August 24, 2009PECOS EnrolledAccepts Medicare Assignment
23.42/100
CMS Quality Rating
500 NEW HEMPSTEAD RD, NEW CITY, NY 10956(845) 362-3200(845) 290-8180 Get Directions Write a Review

NPPES record last updated: May 27, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kenneth Banner Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH BANNER MD (NPI 1790917813) is an individual gastroenterology provider in New City, New York, licensed in New York (257319) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Nyack Hospital, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2006).

NPPES Registry Identity

NPI1790917813
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. KENNETH BANNERCredential: MD
Location Address500 NEW HEMPSTEAD RDNew City, NY 10956-1132
Mailing Address500 New Hempstead RdNew City, NY 10956-1132 · (845) 362-3200 · Fax (845) 290-8180
Phone(845) 362-3200
Fax(845) 290-8180
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2006
Enumeration DateAugust 24, 2009
Last NPPES UpdateMay 27, 2016
✔ NPI 1790917813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 257319
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

500 NEW HEMPSTEAD RD, New City, NY 10956
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth Banner Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193974897
PECOS Enrollment IDI20121012000024
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
196 services136 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
68 services62 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
47 services47 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
43 services43 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
32 services32 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
31 services31 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nyack Hospital

Acute Care Hospitals · Nyack, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330104
Location160 North Midland AvenueNyack, NY 10960 · Rockland County
Birthing friendly

Good Samaritan Hospital Of Suffern

Acute Care Hospitals · Suffern, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330158
Location255 Lafayette AvenueSuffern, NY 10901 · Rockland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10956 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

23.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost78.09

Reported Quality Measures

Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use
Percentage of patients aged 18 years and older receiving a surveillance colonoscopy, with a history of a prior adenomatous polyp(s) in previous colonoscopy findings, which had an interval of 3 or more years since their last colonoscopy
99%71 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
75%540 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,321 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
58%426 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%386 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
0%354 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
97%1,049 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
98%190 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
76%354 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
25%354 patients2/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHARON MOLINAS M.D.
Internal Medicine (Gastroenterology)
500 NEW HEMPSTEAD RD
NEW CITY, NY 10956
Rockland County (845) 362-3200
MIRIAM BOBROFF LCSW CLINICA LSERVICES PC
Social Worker (Clinical)
500 NEW HEMPSTEAD RD, SUITE D
NEW CITY, NY 10956
Rockland County (845) 270-0219
STEPHEN GOODMAN M.D.
Internal Medicine (Gastroenterology)
500 NEW HEMPSTEAD RD
NEW CITY, NY 10956
Rockland County (845) 362-3200
LOUIS D. MAY M.D.
Internal Medicine (Gastroenterology)
500 NEW HEMPSTEAD RD
NEW CITY, NY 10956
Rockland County (845) 362-3200
STEVEN M. SOCKIN, M.D. P.C.
Allergy & Immunology
500 NEW HEMPSTEAD RD, SUITE C
NEW CITY, NY 10956
Rockland County (845) 362-3222
MICHAEL T. KRAM M.D.
Internal Medicine (Gastroenterology)
500 NEW HEMPSTEAD RD
NEW CITY, NY 10956
Rockland County (845) 362-3200
DR. JOSHUA ROBERT OLSTEIN MD
Internal Medicine (Gastroenterology)
500 NEW HEMPSTEAD RD
NEW CITY, NY 10956
Rockland County (845) 362-3200
MR. DAVID JONATHAN NYER LCSW
Social Worker (Clinical)
500 NEW HEMPSTEAD RD, SUITE D
NEW CITY, NY 10956
Rockland County (718) 813-2682

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Banner's NPI number?

The NPI number for Kenneth Banner is 1790917813. It was assigned to this individual provider in the NPPES registry on August 24, 2009.

Where is Kenneth Banner located?

Kenneth Banner practices at 500 New Hempstead Rd, New City, NY 10956. The listed phone number is (845) 362-3200.

What is Kenneth Banner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Kenneth Banner enrolled in Medicare?

Yes. Kenneth Banner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kenneth Banner affiliated with any hospitals?

According to CMS data, Kenneth Banner is affiliated with Nyack Hospital and Good Samaritan Hospital Of Suffern.

When was this NPI record last updated?

The NPPES record for Kenneth Banner was last updated on May 27, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.